Paper Survey for Early Independence Principal Investigator

Process Evaluation of the NIH Director's Early Independence Award Program (EIA)

Documents and Forms

Document Name Document Type
Form Attachment A4 Paper Survey for Early Independence Principal Investigator Form and Instruction
Attachment A4 Paper Survey for EI-PI Attachment A.4 - Paper Survey for Early Independence Principal Investigators.doc Form and Instruction
Attachment B.3 - Protocol for Paper Survey EIA Principal Investigators.doc Protocols for Paper Survey IC Document

Information Collection (IC) Details

IC Title:	Paper Survey for Early Independence Principal Investigator	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A4	Paper Survey for EI-PI	Attachment A.4 - Paper Survey for Early Independence Principal Investigators.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	24	12	12
Annual IC Time Burden (Hours)	12	6	6
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Protocols for Paper Survey	Attachment B.3 - Protocol for Paper Survey EIA Principal Investigators.doc	09/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.